Thanks for Asking: Keys to Taking an Accurate Contact Lens Case History

Exam Questions

1. Taking a patient's case history is both diagnostic and which of the following?

A.

Healing.

B.

Therapeutic

C.

Holistic.

D.

Profitable.

2. Analytical skills must be balanced with interpersonal skills to establish which of the following with the patient?

A.

Rapport and facilitate communication

B.

Demands on time.

C.

HIPPA compliance.

D.

Professional integrity.

3. The rapport established during the taking of a case history:

A.

Gives us more empathy for our patients.

B.

Corrects any misconceptions.

C.

Keeps us in charge of the interview.

D.

Establishes a good foundation of communication for ongoing patient care and education

4. The contact lens fitter must maintain a balance between what two things while directing the interview.

A.

Staying on schedule and staying focused.

B.

Asking questions and educating the patient.

C.

Actively directing the encounter and facilitating the patient's spontaneous report of history.

D.

Building trust and staying in charge of the interview.

5. The contact lens fitter conducts the interview in order to:

A.

Avoid unnecessary complaints.

B.

Clarify any of the patient's needs and problems, come up with a diagnostic and treatment plan, and make lens selection easier.

C.

Make the patient happy they chose us as their provider.

D.

Get to know what patients think about contact lenses in general so we can market our services better.

6. Measuring “value” assists the fitter by knowing what the priorities of wearing contact lenses are to the patient and assists us with initial lens selection. Which are some questions you might want to ask to help determine this?

A.

Do you have relatives who wear contact lenses?

B.

Do you plan to wear your contact lenses full-time or part-time?

C.

Do you have insurance coverage?

D.

B and C.

7. After listing subjective symptoms what should be done to corroborate findings?

A.

Proceed to do a slit lamp exam.

B.

Gather medical history.

C.

Get insurance information, if any.

D.

Decide which objective tests should be done.

8. Which of the following objective tests might be used for analyzing contact lens fitting problems?

A.

Blood test.

B.

Eye examination.

C.

Color blindness test.

D.

Visual Acuities, Keratometer readings, and Fluorescein staining.

9. How should a clearly written “Plan” be written?

A.

In one or two sentences, listing the chief purpose of the visit and the action to be taken.

B.

A brief description of how many visits it will take to complete the fitting process.

C.

Instructions of how payment should be made.

D.

A comprehensive list of instructions the patient must follow during the adaption period.

10. Complete the following: Besides making handoffs easier to other staff or the Dr the “Plan” part of the case history…

A.

...should be the last thing reviewed at the follow-up visit.

B.

...should be the first thing reviewed at the follow-up visit.

C.

...should only be read by the Dr. because of privacy issues.

D.

...should be written on the patient's list of instructions at delivery time.

11. When taking the history of previous lens wear, attention should be given to:

A.

Previous complaints, details, and how it was resolved.

B.

How often the lenses were replaced.

C.

How much they cost.

D.

A and B.

12. When asking lifestyle questions, we should take a step back and think about what?

A.

Whether they would need a different lens than what we first had in mind.

B.

How many boxes we should order on the first order.

C.

Which products, including glasses and sunwear, might provide an alternative solution?

D.

Do they wear their lenses at night?

13. Special attention should be given when reviewing the medical history with the patient. Special note should be given for which of the following items:

A.

Diabetic screening results.

B.

Blood sugar levels.

C.

Hormone therapy.

D.

A and C only.

14. Ask for information that measures compliance in which of the following areas: